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Home My WebLink About05-4196 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4196 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 4196 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 38638 2ND AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 3,450.00 5/11/2005 50.00 50.00 5/11/2005 RE-ROOF Name: CROFT, DANIELLE Address: 38638 2ND AVE ZEPHYRHILLS, FL. 33542 Phone: REINSPEC110N FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. .v :o.,J3::Jp = ~ ~ . CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS o BUILDtNG DEPARTMENT DATE RECEIVED 5,//- 0')- PLANs REVIEW FEE OWNER' s NAME~~.. h \ ~t I ~ If \:) V, JOB ADDRESS '""3 ?Co ~"2 .~& AN<<e.- PHONE LEGAL DESCRIPTION: LOT(S) PARCEL ID # olio '2.\ eP10 "LOSOO OV-'\O BLOCK SUBDIVISICm WORK PROPSED: ONEW CONSTRUCTION DESCRIPTION OF WORK ~\)LA ~ ~~ c=J RESTAURANT & HEALTH DEPARTMENT APPROVAlJ o ADDITION ", DALTERATION "iREPAIR o INSTALL o MOVE 0 DEMOLISH OMULTI-FAMILY DU OF UNITS o MOBILE He o INDUSTRIAL o SWIMMING POOL o OTHER Os I GN PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL :> SQUARE FOOTAGE BUILDING SIZE RESIDENTIAL: COMMERCIAL: ATTACH 12) PLOT PLANs & (2) SETs OF BUILDING PLANs & 11) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANs & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. HEIGHT o BUILDING $ 31.[56.06 PERMITS REQUESTED o ELECTRICAL VALUATION OF TOTAL CONSTRUCTION AMp SERVICE o FLORIDA POWER o o PLUMBING o MECHANICAL $ o GAs ~ROOFING o SPECIALTY o OTHER VALUATION OF MECHANCIAL INSTALLATION TYPE OF CONSTRUCTION: D BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE MEAD YES D NO BUILDER ELECTRICIAN ****************************************************************** COMPANy STATE CERT OR REGIST tI CITY PROCESSING ~ SIGNATURE PLUMBER ****************************************************************** COMPANy STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL **********~******************************************************* COMPANY STATE CERT OR REGIST 11 CITY PROCESSING # SIGNATURE OTHER -h1;;t SIGNATURE. (J-a.~~ *******************************************************ok********* COMPANY: STATE CERT OR REGIST # CITY PROCESSING # - SIGNATURE COMPANY 'h~(1 VJ r nn<jfyU (l,i)fYJ+ )nc . ~ STATE CERT OR REGIST # ..t ('(', ~ L1D1,-<);"l()") CTTY PRnr~~~TU~ n u. Ul~l.J.LLt;I'l::;t:LJ CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with stata and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, if the o.mer has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor SectionsU of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to pennitting privileges ,in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someon'~ other that the "owneru, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to conunencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has conunenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of EngineerS-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.5. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with' the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the pennit is suspended or abandoned for a period of six months after the time the work is conunenced. One 90 day extension of time may be alloVled for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". frtL<~(j O~:~NT ~~~~~yO~FFLORIDA~~~~~ The foregoing instrument V1asm~nowledged ~~fore me this -t-D- day of V-1---U~, ~ (name of person acknowledged) ~ho is personally known to me, or Owho has produced (type and W 00 did ~id not ~~~~~Y O~F FLORID?C6' ~ ~ The foregoing instrument was acknowledg~~ Before me this -!-b-day of MC1f) ,1~~ by \.. (name of person acknowledged) ~ is personally known to me, or /Vt//""' of identification) take an oath. rso9a't.t.P.~M ~nowledgement !.~"<t;, My Commission 00165587 1t!:-.1 Expires January 03, 2007 Name typed, printed or stamped 1111I111111111111111111111111111111111111111111111I111111111 2005092511 NOTICE OF COMMENCEMENT Slate of ~lcnch. County of PaSta THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, a nel in accorelance with Ch apter 713, Plorida S tatlltes, the following i nformat i on is prov ieledlll this Notice of Commencement: 1. Description of Property: Parcel No. l!-.:2~-j-l-061 O-XfLO-61 <=fa 2. 3, Rcpt:883117 Rec: 10.00 DS: 0.00 IT: 0.00 05/11/05 Dpty Clerk JED PITTMAN, PASCO COUNTY CLERK 05/11/0501:27J)m 1 i7al Owner Information: Name-VOYlidle. CrOff OR BK 6364 PG Adelress 3g(03~ 2nd Are. City2tphyr~S State ~L Interest in Property: ()ll)1f'r Name of Fee Simple Tilleholder: --tl.fb (If other lhan owner) Address NA City~'r-t Slale f\Jl~ 4. Contractor: Name '\.-~"""-~. ~'ZJ ~ Address ~/3 '2.~ 5ll. SL City ~e3\.J1l\\\\1s S. Surety: Name l\JA- Address -1lA City--1JA- Slate Ni Amount of Bond: $ NA- 6. Lender: Name ~r-+ Address NA- Cityt] A- S taleNR- StaleVL ~~Sl{ 2- 7. Persons wi th i n the S ta te of PI ori da designated by Owner upon wh om n oti ces or 0 th er elocu men ts maybe served as provided by Secti on 713.13 (l ) (a) (7), PI ori el a S ta tules: Name NA- Aeldress N'A- City~_.__ StatehlA- 8. In addition to himself, Owner designates M- of -00 to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. ' 9. Ex p irati 0 n d ate of Notice of Commencement (the expi rati on date is 1 ycar from the date of recording unless a different date is specified.) ~ BErnE C. JOHNSON ~ MY COMMISSION # D0332616 ~ EXPIRES: SeptmM 16, 2008 1-800-l.NOTARY FJ, NOIaIy DiS<XlUllI Assoc. Co, Signature of Owner: I Sworn to ane! subscribed before me this ,;g2/ 11 ' .:i _~,,~,__ - /_ ;<. Notary Public:.t1t4"ki e. ~;,.r;-fvt~ , c, ' 1//6 J,,A~)/7 /1 ... 1 \, c,., r..... ,........ ,............. : .-. .... : ._ Tl clay of "--/// V-4 /_. G ~ , 20 C/-.